Combined cognitive-behavioral therapy for fibromyalgia: Effects on polysomnographic parameters and perceived sleep quality

  1. Germán Prados
  2. Elena Miró
  3. M. Pilar Martínez
  4. Ana. I. Sánchez
  5. M. José Lami
  6. Rafael Cáliz
Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2020

Volumen: 20

Número: 3

Páginas: 232-242

Tipo: Artículo

DOI: 10.1016/J.IJCHP.2020.04.002 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Antecedentes/Objetivo: La terapia cognitivo-conductual (TCC) es un tratamiento de primera línea para abordar la fibromialgia (FM) que se ha aplicado con cierto éxito para el tratamiento del dolor y el insomnio. Se hipotetiza que intervenir sobre el sueño y el dolor con una modalidad combinada de TCC (TCC-C) puede mejorar el sueño de estos pacientes. Método: Treinta y nueve mujeres con FM e insomnio fueron aleatorizadas para recibir TCC centrada en dolor (TCC-D) o TCC-C. Se evaluaron al inicio y en el post-tratamiento con el Índice de Calidad del Sueño de Pittsburgh y polisomnografía ambulatoria. Resultados: Las participantes en la TCC-D mostraron aumentos del tiempo en cama y del tiempo total de sueño, y un descenso del sueño ligero, pero no hubo una mejora en la calidad del sueño percibida. Las participantes en la TCC-C mostraron mejoras significativas relacionadas con el sueño reparador (mayor eficiencia del sueño, menos tiempo de vigilia y más tiempo en fase 4 del sueño), y estos cambios fueron congruentes con una mejora en la calidad del sueño percibida. Conclusiones: Este estudio sugiere que nuevos enfoques TCC-C en FM pueden mejorar aspectos clínicos relacionados con el insomnio.

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Información de financiación

This study was financially supported by the Spanish Ministry of Science and Innovation through project PSI2009-13765.

Financiadores

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